Changsha health insurance reimbursement ratio in 2023

The reimbursement ratio of Changsha health insurance in 2023 is 60%, of which the reimbursement ratio of outpatient major diseases has been increased to 80%, and the reimbursement ratio of outpatient chronic diseases has also been increased, and a differentiated reimbursement policy has also been implemented for some special groups of people.

According to the Regulations on Basic Medical Insurance for Urban Workers in Hunan Province, the reimbursement rate for Changsha's health insurance in 2023 will be 60%, of which the reimbursement rate for outpatient major illnesses has been increased to 80%, i.e., outpatient major illnesses can be reimbursed for a maximum of 80% of the expenses if the conditions are met. The outpatient reimbursement rate for chronic diseases has also been increased, and will be gradually raised to 60%, while differentiated reimbursement policies will be implemented for special groups such as women and children. In addition, Changsha City 2023 has stipulated a series of health insurance-related policies, such as further compressing out-of-catalog drugs, implementing the total medical cost control system, and improving the health insurance payment method. At the same time, Changsha has also launched the "Internet + Healthcare" service, which makes it convenient for residents to book appointments online, inquire about healthcare service information, and learn about healthcare insurance policies. It is important to note that the reimbursement rate of medical insurance refers to the proportion of expenses eligible for reimbursement that are paid by the medical insurance fund, while residents still need to pay a certain amount of out-of-pocket expenses. The reimbursement rates for different medical programs vary, so check with your local health insurance agency or relevant department for details.

Do I need to re-enroll in medical insurance to get a new card? If you have paid for your health insurance for more than 12 consecutive months, you do not need to re-enroll in health insurance to get a new health insurance card. It is important to note that you may need to update relevant information, such as household address and contact information, while replacing your health insurance card. Meanwhile, different regions have different health insurance policies and standards, so it is recommended to know in advance and make sure your rights are effectively protected.

The reimbursement rate of health insurance is an important part of health insurance policy. In 2023, the reimbursement rate of Changsha's health insurance will be 60%, of which the reimbursement rate of outpatient major diseases will be increased to 80%, and the reimbursement rate of outpatient chronic diseases will also be increased, and the differentiated reimbursement policy will be implemented for some special groups. When applying for a new health insurance card, individual health insurance contributions for more than 12 consecutive months do not need to re-enroll in health insurance contributions.

Legal basis:

Article 29 of the Social Insurance Law of the People's Republic of China*** and the State of China, the portion of the medical and nursing costs of the insured that should be paid by the basic medical insurance fund shall be settled directly by the social insurance carpet open insurance agency with the medical institutions and drug business units. Social insurance administrative departments and health administrative departments shall establish a settlement system of medical expenses for medical treatment in other places, to facilitate the enjoyment of basic medical insurance benefits by insured persons.